| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,522 |
15,607 |
$2.14M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
7,328 |
6,528 |
$878K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,617 |
6,178 |
$872K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,490 |
3,005 |
$401K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,187 |
1,975 |
$282K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,324 |
2,084 |
$48K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,762 |
1,648 |
$36K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
168 |
163 |
$24K |
| 87807 |
|
1,194 |
1,087 |
$24K |
| 90686 |
|
1,751 |
1,642 |
$21K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,281 |
3,689 |
$18K |
| 96161 |
|
1,773 |
1,518 |
$17K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,948 |
1,746 |
$17K |
| 99381 |
|
188 |
149 |
$16K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
121 |
110 |
$16K |
| 90723 |
|
4,778 |
4,217 |
$14K |
| 85018 |
|
1,735 |
1,570 |
$12K |
| 90633 |
|
1,915 |
1,738 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
9,720 |
8,877 |
$10K |
| 99442 |
|
273 |
181 |
$9K |
| 90670 |
|
5,176 |
4,850 |
$6K |
| D0145 |
Oral evaluation for a patient under three years of age |
536 |
525 |
$5K |
| 99441 |
|
194 |
168 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
31 |
27 |
$3K |
| 90648 |
|
6,156 |
5,504 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
7,429 |
6,775 |
$2K |
| 81003 |
|
120 |
102 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
277 |
256 |
$2K |
| 87428 |
|
356 |
322 |
$2K |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
33 |
28 |
$869.04 |
| 90707 |
|
1,713 |
1,553 |
$771.51 |
| 36416 |
|
53 |
52 |
$745.30 |
| 90681 |
|
2,781 |
2,411 |
$734.18 |
| 90700 |
|
407 |
350 |
$731.64 |
| 90716 |
|
1,697 |
1,546 |
$609.01 |
| 90685 |
|
28 |
28 |
$585.12 |
| 90651 |
|
62 |
61 |
$443.71 |
| 90696 |
|
403 |
354 |
$439.18 |
| D1206 |
Topical application of fluoride varnish |
401 |
391 |
$297.43 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
14 |
13 |
$288.24 |
| 90677 |
|
1,017 |
690 |
$161.96 |
| 92551 |
|
31 |
28 |
$94.03 |
| 99173 |
|
86 |
82 |
$67.92 |
| 90474 |
|
31 |
30 |
$40.00 |
| 90715 |
|
83 |
83 |
$0.00 |
| 90734 |
|
20 |
20 |
$0.00 |
| 90461 |
|
229 |
196 |
$0.00 |
| 87420 |
|
17 |
14 |
$0.00 |
| 3008F |
|
1,379 |
1,179 |
$0.00 |
| 90656 |
|
57 |
57 |
$0.00 |